ENTER VALU

AGE 56 DO NOT CHANGE THESE CELLS WAGES 5000

THIS CALCULATOR IS VALID FOR DEATH, PERMANENT TOTAL DISABLEMENT AND PERMANENT PERTIAL DISABLEMENT (COVERED UNDER SCHEDULE I)
RELEVANT FACTOR WAGES FOR WC LOSS OF EARNING CAPACITY (%) CATEGORY OF COMPENSATION (% ) 131.95 Rs. 5,000 100 % 60

SO WC COMPENSATION

Rs. 395,850

ENTER VALUE
NATURE OF INJURY AS PER LIST OF INJURY SHEET (ENTER SL.NO ONLY) 1 PLEASE SEE FROM LIST OF INJURIES WITH % OF LOSS

ENTER VALUE
AGE 59 DO NOT CHANGE THESE CELLS WAGES 4000

THIS CALCULATOR IS VALID FOR ONLY PERMANENT PERTIAL DISABLEMENT NOT COVERED UNDER SCHEDULE I
RELEVANT FACTOR WAGES FOR WC LOSS OF EARNING CAPACITY (%) SO WC COMPENSATION 121.05 Rs. 4,000 15 %

Rs. 43,578

ENTER VALUE
LOSS OF EARNING CAPACITY (AS ASSESSED BY THE QUALIFIED MEDICAL PRACTIONER) 15 % as per doctors report

SO
Add

Number of Workers Rate of Premium ON PER Rs. 1000/Number of month WAGES per month/employee Gross Premium Service Tax Total Premium Amount

250 21.4 12 8000 513600 63481 577081

ENTER VALUE ENTER VALUE ENTER VALUE ENTER VALUE

Schedule I [See Section 2(1) And (4)] [LIST OF INJURIES DEEMED TO RESULT IN PERMANENT TOTAL DISABLEMENT] SL.NO Description Of Injury 1 Loss Of Both Hands Or Amputation At Higher Sites 2 Loss Of A Hand And A Foot Doubled Amputation Through Leg Or Thigh, Or Amputation 3 Through Leg Or Thigh On One Side And Loss Of Other Foot Loss Of Sight To Such An Extent As To Render The Claimant 4 Unable To Perform Any Work For Which Eye-Sight Is Essential 5 Very Severe Facial Disfigurement 6 Absolute Deafness

SL.NO A1 A2 A3

Schedule Ii [LIST OF INJURIES DEEMED TO RESULT IN PERMANENT PARTIAL DISABLEMENT] Description Of Injury Amputation Cases - Upper Limbs (Either Arm) Amputation Through Shoulder Joint Amputation Below Shoulder With Stump Less Than 20.32 Cms. From Tip Of Acromion Amputation From 20.32 Cms. From Tip Of Acromion To Less Than 11.43 Cms. Below Tip Of Olecranon Loss Of Hand Or Of The Thumb And Four Finger Of One Hand Or Amputation From 11.43 Cms. Below Tip Of Olecranon Loss Of Thumb Loss Of Thumb And Its Metacarpal Bone Loss Of Four Finger Of One Hand Loss Of Three Finger Of One Hand Loss Of Two Finger Of One Hand Loss Of Terminal Phalanx Of Thumb Guillotine Amputation Of Tip Of Thumb Without Lossof Bone Amputation Cases - Lower Limbs Amputation Of Both Feet Resulting In End Bearing Stump Amputation Through Both Feet Proximal To The Metatarsophalngeal Joint Loss Of All Toes Of Both Feet Through The Metatarsophalngeal Joint Loss Of All Toes Of Both Feet Proximal To The Proximal Interphalangeal Joint

A4 A5 A6 A7 A8 A9 A10 A11

A12 A13 A14 A15

A16 A17 A18

A19 A20 A21 A22 A23 A24 A25

Loss Of All Toes Of Both Feet Distal To The Proximal Interphalangeal Joint Amputation At Hip Amputation Below Hip With Stump Not Exceeding 12.70 Cms. In Length Measured From Tip To Great Trenchanter Amputation Below Hip With Stump Not Exceeding 12.70 Cms. In Length Measured From Tip To Great Trenchanter But Not Beyond Middle Thigh Amputation Below Middle Thigh To 8.89 Cms. Below Knee Amputation Below Knee With Stump Exceeding 8.89 Cms. But Not Exceeding 12.70 Cms. Amputation Below Knee With Stump Exceeding 12.70 Cms. Amputation Of One Foot Resulting In End Bearing Amputation Through One Foot Proximal To The Metatarsophalangeal Joint Loss Of All Toes Of One Foot Through The Matatarsophalangeal Joint Other Injuries Loss Of One Eye, Without Complications, The Other Bearing Normal Loss Of Vision Of One Eye, Without Complications Or Disfigurement Of Eye-Ball, Other Being Normal Loss Of Partial Vision Of One Eye Loss Of A ---Fingers Of Right Or Left Hand Index Finger Whole Two Phalanges One Phalanx Guillotine Amputation Of Tip Of Thumb Without Lossof Bone Middle Finger Whole Two Phalanges One Phalanx Guillotine Amputation Of Tip Of Thumb Without Lossof Bone Ring Or Little Finger Whole Two Phalanges One Phalanx Guillotine Amputation Of Tip Of Thumb Without Lossof Bone B---Toes Of Right Or Left Foot Great Toe Through Metatarso-Phalangeal Joint Part, With Some Loss Of Bone

A26 A27 A28

B1 B2 B3 B4 C1 C2 C3 C4 C5 C6 C7 C8 C9 C1O

C11 C12 C13 C14 C15 C16 C17 C18 D1

Any Other Toe Through Metatarso-Phalangeal Joint Part, With Some Loss Of Bone Two Toes Of One Foot, Excluding Great Toe Through Metatarso-Phalangeal Joint Part, With Some Loss Of Bone Three Toes Of One Foot, Excluding Great Toe Through Metatarso-Phalangeal Joint Part, With Some Loss Of Bone Four Toes Of One Foot, Excluding Great Toe Through Metatarso-Phalangeal Joint Part, With Some Loss Of Bone Death Cases Death

MANENT TOTAL DISABLEMENT] %OF LOSS OF EARNING CAPACITY 100 100 100

100 100

MANENT PARTIAL DISABLEMENT] %OF LOSS OF EARNING CAPACITY 90 80 70 60 30 40 50 30 20 20 10

90 80 40 30

20 90 80 70 60 50 50 50 50 20

40 30 10

14 11 9 5 12 9 7 4 7 6 5 2 14 3

3 1 5 2 6 3 9 3 FOR OUR CALCULATION ONLY DEATH

SL NO NOT MORE THAN 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43

COMPLETED YEARS OF AGE 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59

RELEVANT FACTORS RELEVANT FACTORS 228.54 227.49 226.38 225.22 224 222.71 221.37 219.95 218.47 216.91 215.28 213.57 211.79 209.92 207.98 205.95 203.85 201.66 199.4 197.06 194.64 192.14 189.56 186.9 184.17 181.37 178.49 175.54 172.52 169.44 166.29 163.07 159.8 156.47 153.09 149.67 146.2 142.68 139.13 135.56 131.95 128.33 124.7 121.05

44 45 46 47 48 49

60 61 62 63 64 65 OR MORE

117.41 113.77 110.14 106.52 102.93 99.37